Active NPI
Olufunsho Bankole, MD
- Critical Care Medicine (Internal Medicine) Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME159646
- Practice address
- 1200 Northside Forsyth Dr
Cumming, GA 30041-7659 - Phone
- (770) 844-3200
- Fax
- (770) 844-3655
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 058391 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 058391 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME159646 | FL | Primary |
Addresses
Primary practice location
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Mailing address
2900 Pharr Court South NW
Suite 2103
Atlanta, GA 30305-4976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070213000513 | GA | Practitioner - Internal Medicine | 2668474164 | Reassigns benefits to 10 organizations |
| I20230405001237 | FL | Practitioner - Critical Care (Intensivists) | 2668474164 | Reassigns benefits to 2 organizations |
| I20230918001670 | MO | Practitioner - Critical Care (Intensivists) | 2668474164 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Medical Group IncPiedmont Specialty Hospital Billing LLCSkaggs Community Hospital AssociationColumbus Ambulatory Healthcare Services, Inc.
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000
525 Branson Landing Blvd
Branson, MO 65616-2052
525 Branson Landing Blvd
Suite 508
Branson, MO 65616-2131
Phone (417) 335-7540
550 Peachtree St NE
Suite 1285
Atlanta, GA 30308-2249
Phone (404) 856-3213
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454
Hospital & facility affiliations
- Coliseum Medical Centers, LLC, Dba
- Adventhealth Ocala
- Piedmont Henry Hospital
- Piedmont Augusta Hospital
- Cox Medical Center Branson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME159646 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
| 058391 | GA | MD | Pulmonary Disease Physician |
Practice roles (19 of 21)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Universal Lung Associates | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Pulmonary Disease | Current | Accepting new patients |
| Piedmont Specialty Hospital Billing LLC | Internal Medicine | Current | Accepting new patients |
| Nuview Telehealth, LLC | Internal Medicine | Current | Accepting new patients |
| Nuview Health Indiana PC | Critical Care Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Gwinnett Physician Group, LLC | Internal Medicine | Current | Accepting new patients |
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Ecc Hospitalist Services PC | Internal Medicine | Past | Accepting new patients |
Locations
1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
550 Peachtree St NE
Ste 1285
Atlanta, GA 30308
Phone (404) 815-7951
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- obankole19660@hhcs.direct-ci.com
- obankole5117053@adventhealth.direct-ci.com
Organizations & group practices 45
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
GA, Internal Medicine
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
GA, Internal Medicine
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
FL, Internal Medicine
-
- Pulmonary Disease Physician
- Branson, MO
- NPI 1871786905
MO, Pulmonary Disease
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1578574661
GA, Internal Medicine
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
GA, Internal Medicine
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
GA
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1487714911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 PHARR COURT SOUTH NW",
"address_2": "SUITE 2103",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303054976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NORTHSIDE FORSYTH DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417659",
"telephone_number": "770-844-3200",
"fax_number": "770-844-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKOLE",
"first_name": "OLUFUNSHO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "058391",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "058391",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME159646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.